Celia Mendes MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

9501337 Issued in NC

Legal business name

CELIA MENDES MD PA

Practice address

1357 Walter Reed Rd
Suite 201
Fayetteville, NC 28304-4415

Phone

(910) 486-6400

Fax

(910) 486-6413

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Celia M Mendes, M.D.NPI 1952411498

Title

Owner

Phone

(910) 486-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celia M Mendes, M.D.

  • Specialist
  • Fayetteville, NC
  • NPI 1952411498
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley L Cothran, PA-C

  • Physician Assistant
  • Lillington, NC
  • NPI 1255678454
  Medicare reassignment Care Compare group
• Elena Yurievna Polyanskaya Ruppe, P.A.-C

  • Physician Assistant
  • Fort Bragg, NC
  • NPI 1285625855
  Medicare reassignment
• Rebecca L Arth, WHNP, FNP

  • Women's Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1407130172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1497971949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-486-6400",
            "fax_number": "910-486-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-486-6400",
            "fax_number": "910-486-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELIA MENDES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-486-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9501337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891267E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.